When I was taking my training in Psychotherapy, it was shared with me that I was not relating to the client with empathic understanding. I had no idea then what that meant. I got myself into therapy, and after re-discovering my own "Psychological suicide" at age three, during a Gestalt session, my MIND realm was opened up to me. It's rare that an instructor today (most being trained in "Behavioral psychology") could instruct the student regarding the basic difference in the Left-Hemisphere of the brain, and the Right-Hemisphere in terms of where the ATTN aspect of your Consciousness is focused during observation. If you have been instructed in the difference (this is doubtful because mental health curriculum today denies the existence of both MIND and Consciousness) you might know that if the ATTN aspect of your Consciousness is focused in the [L-H] of your brain, you cannot empathize with the emotional "causal" behind and driving the client's dialogue.
As part of your Scotoma, or your MIND's automatic Psychological Process (my name for the human defense mechanism), you will automatically be protected from being exposed to the repressed emotional energy active within your client, by your MIND feeding thoughts to your [L-H] whose purpose is to divert you from the same emotions currently active within your own MIND. Unless and until you Psychotherapeutically revisit the deeply repressed traumata (emotionally repressed misperceptions from earliest childhood) hidden within your own MIND realm, your MIND will always automatically protect you against being exposed to what, as a therapist, you must know in order to effect help for your client. Most mental health professionals today do not want to acknowledge this reality, but it is the Truth. Regards.